Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2025-04-10
- Stop
- 2025-04-10
The parties
- Patient
- patient Emile Christoper Veum
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Aetna
Record id
33b0f71a-9afa-6bb8-210f-857c25c43f19